{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:33:35Z","timestamp":1787020415205,"version":"build-2736575974"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Ningxia Natural Science Foundation Project","award":["2024AAC03658"],"award-info":[{"award-number":["2024AAC03658"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study evaluates the safety, efficacy, and clinical outcomes of carbon dioxide (CO\u2082) versus iodinated contrast media (ICM) in endovascular aneurysm repair (EVAR), an area where comprehensive combined imaging and clinical assessments have yet to be explored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive literature search was conducted in PubMed, Embase, and Scopus from their inception to May 2025, specifically targeting studies published since 2012 that compared contrast media in EVAR. Outcome measures\u2014including operative time, fluoroscopy time, procedural success (defined as postoperative restoration of blood flow), renal function, incidence of acute kidney injury (AKI), and type II endoleak\u2014were analyzed using a generalized linear mixed model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with ICM, CO\u2082 angiography showed no significant differences in procedural success or operative time (both\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u20090.05), while fluoroscopy duration was slightly longer (WMD\u2009=\u20092.75,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). CO\u2082 angiography was associated with markedly reduced ICM exposure (WMD\u2009=\u2009\u2212\u200957.24,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05) and showed potential renal benefits, including higher eGFR (WMD\u2009=\u20090.42,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and lower serum creatinine at 1 month (WMD\u2009=\u2009\u2212\u20090.09,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.04). The incidence of postoperative acute kidney injury was also lower in the CO\u2082 group (1.3% vs. 2.8%; OR\u2009=\u20090.43,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.05). Moreover, CO\u2082 angiography showed a reduced incidence of type II endoleaks (OR\u2009=\u20090.57,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.04), although further confirmation in larger prospective studies is warranted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Based mainly on observational data with limited prospective studies, CO\u2082 angiography in EVAR shows comparable intra-procedural visualization and technical success to ICM. Some studies suggest it may reduce perioperative AKI risk or provide short-term renal protection. However, current evidence is insufficient to establish its equivalence across all patient populations. Therefore, its use should be individualized based on factors like renal function and anatomy or considered alongside low-dose ICM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12893-025-03329-2","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T11:49:06Z","timestamp":1764330546000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["CO\u2082 angiography offers clinical advantages over iodinated contrast in endovascular aneurysm repair: a systematic review and meta-analysis"],"prefix":"10.1186","volume":"25","author":[{"given":"Guohang","family":"Shen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yupei","family":"Dai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaiyong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haobo","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaxu","family":"Xin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zongxin","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengli","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"issue":"3","key":"3329_CR1","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1016\/j.ejvs.2024.11.350","volume":"69","author":"M Teraa","year":"2025","unstructured":"Teraa M, van Herwaarden JA. Carbon dioxide in endovascular aortic repair: all or nothing? Eur J Vasc Endovasc Surg. 2025;69(3):403\u20134.","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"7","key":"3329_CR2","doi-asserted-by":"publisher","first-page":"998","DOI":"10.1007\/s00270-018-1936-x","volume":"41","author":"S Chacko","year":"2018","unstructured":"Chacko S, et al. Carbon dioxide Angiography-Guided renal-Related interventions in patients with Takayasu arteritis and renal insufficiency. Cardiovasc Intervent Radiol. 2018;41(7):998\u20131007.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"6","key":"3329_CR3","doi-asserted-by":"publisher","first-page":"1180","DOI":"10.1177\/15266028231162258","volume":"31","author":"M Busutti","year":"2024","unstructured":"Busutti M, et al. Renal benefits of CO2 as a contrast media for EVAR procedures: new perspectives on 1 year outcomes. J Endovasc Ther. 2024;31(6):1180\u20139.","journal-title":"J Endovasc Ther"},{"issue":"12","key":"3329_CR4","doi-asserted-by":"publisher","first-page":"1428","DOI":"10.1001\/archsurg.2011.195","volume":"146","author":"JM Moos","year":"2011","unstructured":"Moos JM, et al. Safety of carbon dioxide digital Subtraction angiography. Arch Surg. 2011;146(12):1428\u201332.","journal-title":"Arch Surg"},{"issue":"4","key":"3329_CR5","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1016\/j.ejvs.2023.06.039","volume":"66","author":"EU Unal","year":"2023","unstructured":"Unal EU, et al. Carbon dioxide guided endovascular aortic aneurysm repair in impaired renal function: propensity score matched study. Eur J Vasc Endovasc Surg. 2023;66(4):521\u20139.","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"3329_CR6","doi-asserted-by":"publisher","first-page":"109476","DOI":"10.1016\/j.ejrad.2020.109476","volume":"135","author":"F B\u00fcrckenmeyer","year":"2021","unstructured":"B\u00fcrckenmeyer F, et al. Image quality and safety of automated carbon dioxide digital Subtraction angiography in femoropopliteal lesions: results from a randomized single-center study. Eur J Radiol. 2021;135:109476.","journal-title":"Eur J Radiol"},{"issue":"3","key":"3329_CR7","first-page":"437","volume":"90","author":"SS Ghumman","year":"2017","unstructured":"Ghumman SS, et al. Contrast induced-acute kidney injury following peripheral angiography with carbon dioxide versus iodinated contrast media: A meta-analysis and systematic review of current literature. Catheter Cardiovasc Interv. 2017;90(3):437\u201348.","journal-title":"Catheter Cardiovasc Interv"},{"issue":"2","key":"3329_CR8","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1016\/j.jvs.2017.03.446","volume":"66","author":"MJ Sharafuddin","year":"2017","unstructured":"Sharafuddin MJ, Marjan AE. Current status of carbon dioxide angiography. J Vasc Surg. 2017;66(2):618\u201337.","journal-title":"J Vasc Surg"},{"issue":"6","key":"3329_CR9","doi-asserted-by":"publisher","first-page":"1570","DOI":"10.1016\/j.jvs.2011.11.142","volume":"55","author":"E Criado","year":"2012","unstructured":"Criado E, et al. Endovascular aortic aneurysm repair with carbon dioxide-guided angiography in patients with renal insufficiency. J Vasc Surg. 2012;55(6):1570\u20135.","journal-title":"J Vasc Surg"},{"key":"3329_CR10","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1016\/j.avsg.2020.09.062","volume":"71","author":"R Renard","year":"2021","unstructured":"Renard R, et al. A simple technique to perform endovascular repair of abdominal aortic aneurysms with a very low dose of iodine contrast media. Ann Vasc Surg. 2021;71:507\u201312.","journal-title":"Ann Vasc Surg"},{"key":"3329_CR11","doi-asserted-by":"crossref","unstructured":"Wagner G et al. Risk of contrast-associated acute kidney injury in patients undergoing peripheral angiography with carbon dioxide compared to iodine-containing contrast agents: a systematic review and meta-analysis. J Clin Med. 2022;11(23):7203.","DOI":"10.3390\/jcm11237203"},{"key":"3329_CR12","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/j.avsg.2021.10.039","volume":"81","author":"A Vacirca","year":"2022","unstructured":"Vacirca A, et al. CO(2) automated angiography in endovascular aortic repair preserves renal function to a greater extent compared with iodinated contrast Medium. Analysis of technical and anatomical details. Ann Vasc Surg. 2022;81:79\u201388.","journal-title":"Ann Vasc Surg"},{"issue":"2","key":"3329_CR13","doi-asserted-by":"publisher","first-page":"e24254","DOI":"10.1097\/MD.0000000000024254","volume":"100","author":"RP Thomas","year":"2021","unstructured":"Thomas RP, et al. Feasibility and safety of automated CO2 angiography in peripheral arterial interventions. Med (Baltim). 2021;100(2):e24254.","journal-title":"Med (Baltim)"},{"key":"3329_CR14","doi-asserted-by":"crossref","unstructured":"Chisci E, et al. editors. \u2018s Choice - Feasibility and Safety of Using Carbon Dioxide Exclusively in Regular Endovascular Aortic Aneurysm Repair: Results of a Multicentre, Prospective, Zero Iodine Contrast Endovascular Aneurysm Repair Study. Eur J Vasc Endovasc Surg, 2025. 69(3): pp. 392\u2013402.","DOI":"10.1016\/j.ejvs.2024.11.011"},{"key":"3329_CR15","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1016\/j.avsg.2020.06.036","volume":"70","author":"TG Tantawy","year":"2021","unstructured":"Tantawy TG, et al. Endovascular aneurysm repair assisted by CO(2) digital Subtraction angiography and intraoperative Contrast-Enhanced ultrasonography: Single-Center experience. Ann Vasc Surg. 2021;70:459\u201366.","journal-title":"Ann Vasc Surg"},{"issue":"12","key":"3329_CR16","doi-asserted-by":"publisher","first-page":"e83138","DOI":"10.1371\/journal.pone.0083138","volume":"8","author":"N Panic","year":"2013","unstructured":"Panic N, et al. Evaluation of the endorsement of the preferred reporting items for systematic reviews and meta-analysis (PRISMA) statement on the quality of published systematic review and meta-analyses. PLoS ONE. 2013;8(12):e83138.","journal-title":"PLoS ONE"},{"issue":"2","key":"3329_CR17","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1148\/radiol.220370","volume":"305","author":"H Umakoshi","year":"2022","unstructured":"Umakoshi H, et al. Iodinated contrast media substitution to prevent recurrent hypersensitivity reactions: A systematic review and Meta-Analysis. Radiology. 2022;305(2):341\u20139.","journal-title":"Radiology"},{"issue":"4","key":"3329_CR18","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1016\/j.ejvs.2017.06.027","volume":"54","author":"Y Han","year":"2017","unstructured":"Han Y, et al. Outcomes of endovascular abdominal aortic aneurysm repair in octogenarians: Meta-analysis and systematic review. Eur J Vasc Endovasc Surg. 2017;54(4):454\u201363.","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"3329_CR19","doi-asserted-by":"publisher","first-page":"105584","DOI":"10.1016\/j.ebiom.2025.105584","volume":"113","author":"O Murrin","year":"2025","unstructured":"Murrin O, et al. A systematic analysis of the contribution of genetics to Multimorbidity and comparisons with primary care data. EBioMedicine. 2025;113:105584.","journal-title":"EBioMedicine"},{"key":"3329_CR20","doi-asserted-by":"crossref","unstructured":"Zwetsloot SLM et al. Identification of clinical and patient reported outcomes for patients with intact abdominal aortic aneurysms not undergoing repair: A systematic review. Eur J Vasc Endovasc Surg, 2025.","DOI":"10.1016\/j.ejvs.2025.06.036"},{"key":"3329_CR21","doi-asserted-by":"publisher","first-page":"p103285","DOI":"10.1016\/j.eclinm.2025.103285","volume":"84","author":"X Li","year":"2025","unstructured":"Li X, et al. Association between physical activity and risk of anxiety: a dose-response meta-analysis of 11 international cohorts. EClinicalMedicine. 2025;84:p103285.","journal-title":"EClinicalMedicine"},{"issue":"3","key":"3329_CR22","doi-asserted-by":"publisher","first-page":"954","DOI":"10.1016\/j.jvs.2019.01.076","volume":"70","author":"B Li","year":"2019","unstructured":"Li B, et al. A systematic review and meta-analysis of the long-term outcomes of endovascular versus open repair of abdominal aortic aneurysm. J Vasc Surg. 2019;70(3):954\u2013e96930.","journal-title":"J Vasc Surg"},{"issue":"10","key":"3329_CR23","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1007\/s00270-023-03537-4","volume":"46","author":"M Liu","year":"2023","unstructured":"Liu M, et al. Comparison of chimney and fenestrated techniques for Supra-Aortic branch revascularization during thoracic endovascular aortic repair: A systematic review and Meta-Analysis. Cardiovasc Intervent Radiol. 2023;46(10):1315\u201328.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"9","key":"3329_CR24","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1097\/RLI.0000000000000568","volume":"54","author":"YJ Suh","year":"2019","unstructured":"Suh YJ, et al. Acute adverse reactions to nonionic iodinated contrast media: A Meta-Analysis. Invest Radiol. 2019;54(9):589\u201399.","journal-title":"Invest Radiol"},{"issue":"1","key":"3329_CR25","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1177\/17085381241238044","volume":"33","author":"F Villani","year":"2025","unstructured":"Villani F, et al. CO(2) is the contrast media to choose in patients with initial chronic kidney disease undergoing endovascular aneurysm repair to prevent further renal function deterioration. Vascular. 2025;33(1):116\u201326.","journal-title":"Vascular"},{"key":"3329_CR26","doi-asserted-by":"crossref","unstructured":"Vaccarino R et al. Assessment of carbon dioxide angiography in Iliac branched repair. J Endovasc Ther, 2024: p. 15266028241289012.","DOI":"10.1177\/15266028241289012"},{"key":"3329_CR27","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1016\/j.avsg.2023.10.009","volume":"101","author":"S Quaglino","year":"2024","unstructured":"Quaglino S, et al. Safety, effectiveness and pitfalls of carbon dioxide routine use as a contrast agent for endovascular abdominal aortic repair. Ann Vasc Surg. 2024;101:120\u20136.","journal-title":"Ann Vasc Surg"},{"key":"3329_CR28","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1016\/j.avsg.2018.02.036","volume":"51","author":"Y Takeuchi","year":"2018","unstructured":"Takeuchi Y, et al. Midterm outcomes of endovascular aortic aneurysm repair with carbon Dioxide-Guided angiography. Ann Vasc Surg. 2018;51:170\u20136.","journal-title":"Ann Vasc Surg"},{"key":"3329_CR29","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.avsg.2016.06.028","volume":"39","author":"A de Mendes","year":"2017","unstructured":"de Mendes A. Carbon dioxide as contrast medium to guide endovascular aortic aneurysm repair. Ann Vasc Surg. 2017;39:67\u201373.","journal-title":"Ann Vasc Surg"},{"issue":"6","key":"3329_CR30","doi-asserted-by":"publisher","first-page":"417","DOI":"10.7326\/M15-1402","volume":"164","author":"J Eng","year":"2016","unstructured":"Eng J, et al. Comparative effect of contrast media type on the incidence of contrast-Induced nephropathy: A systematic review and Meta-analysis. Ann Intern Med. 2016;164(6):417\u201324.","journal-title":"Ann Intern Med"},{"issue":"7","key":"3329_CR31","doi-asserted-by":"publisher","first-page":"753","DOI":"10.1016\/j.jcin.2021.11.026","volume":"15","author":"R Mohebi","year":"2022","unstructured":"Mohebi R, et al. Long-Term clinical impact of Contrast-Associated acute kidney injury following PCI: an ADAPT-DES substudy. JACC Cardiovasc Interv. 2022;15(7):753\u201366.","journal-title":"JACC Cardiovasc Interv"},{"key":"3329_CR32","doi-asserted-by":"crossref","unstructured":"Spath P et al. CO(2) angiography in the standard and complex endovascular repair of the abdominal aorta-a narrative review of the literature. J Clin Med. 2024;13(16):4634.","DOI":"10.3390\/jcm13164634"},{"issue":"8","key":"3329_CR33","doi-asserted-by":"publisher","first-page":"954","DOI":"10.3109\/0886022X.2010.502608","volume":"32","author":"MA Onuigbo","year":"2010","unstructured":"Onuigbo MA. Syndrome of rapid-onset end-stage renal disease: a new unrecognized pattern of CKD progression to ESRD. Ren Fail. 2010;32(8):954\u20138.","journal-title":"Ren Fail"},{"issue":"1","key":"3329_CR34","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1016\/j.jvs.2023.03.029","volume":"78","author":"SR Lee","year":"2023","unstructured":"Lee SR, et al. Carbon dioxide angiography during peripheral vascular interventions is associated with decreased cardiac and renal complications in patients with chronic kidney disease. J Vasc Surg. 2023;78(1):201\u20138.","journal-title":"J Vasc Surg"},{"issue":"2","key":"3329_CR35","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1177\/15266028231180995","volume":"32","author":"G Massaini","year":"2025","unstructured":"Massaini G, et al. A pilot study of endovascular repair for ruptured aortic aneurysms with the use of carbon dioxide angiography alone. J Endovasc Ther. 2025;32(2):498\u2013502.","journal-title":"J Endovasc Ther"},{"issue":"6","key":"3329_CR36","doi-asserted-by":"publisher","first-page":"1906","DOI":"10.1016\/j.jvs.2020.02.051","volume":"72","author":"E Gallitto","year":"2020","unstructured":"Gallitto E, et al. The benefit of combined carbon dioxide automated angiography and fusion imaging in preserving perioperative renal function in fenestrated endografting. J Vasc Surg. 2020;72(6):1906\u201316.","journal-title":"J Vasc Surg"},{"issue":"4","key":"3329_CR37","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1007\/s00270-020-02722-z","volume":"44","author":"CLA Dewald","year":"2021","unstructured":"Dewald CLA, et al. 2D-Perfusion angiography using carbon dioxide (CO2): A feasible tool to monitor immediate treatment response to endovascular therapy of peripheral arterial disease? Cardiovasc Intervent Radiol. 2021;44(4):635\u201341.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"1","key":"3329_CR38","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/j.avsg.2012.10.001","volume":"27","author":"SG Huang","year":"2013","unstructured":"Huang SG, et al. A prospective study of carbon dioxide digital Subtraction versus standard contrast arteriography in the detection of endoleaks in endovascular abdominal aortic aneurysm repairs. Ann Vasc Surg. 2013;27(1):38\u201344.","journal-title":"Ann Vasc Surg"},{"issue":"9","key":"3329_CR39","doi-asserted-by":"publisher","first-page":"715","DOI":"10.4330\/wjc.v9.i9.715","volume":"9","author":"F Ali","year":"2017","unstructured":"Ali F, et al. Use of carbon dioxide as an intravascular contrast agent: A review of current literature. World J Cardiol. 2017;9(9):715\u201322.","journal-title":"World J Cardiol"},{"key":"3329_CR40","doi-asserted-by":"crossref","unstructured":"Girolamo AD et al. Clinical and radiological outcomes of accessory renal artery exclusion during endovascular repair of abdominal aortic aneurysms. Diagnostics (Basel). 2024;14(9):864.","DOI":"10.3390\/diagnostics14090864"},{"key":"3329_CR41","first-page":"53","volume":"12","author":"A Brown","year":"2016","unstructured":"Brown A, et al. Type II endoleaks: challenges and solutions. Vasc Health Risk Manag. 2016;12:53\u201363.","journal-title":"Vasc Health Risk Manag"},{"key":"3329_CR42","doi-asserted-by":"publisher","first-page":"p7647165","DOI":"10.1155\/2018\/7647165","volume":"2018","author":"C Mascoli","year":"2018","unstructured":"Mascoli C, et al. The assessment of carbon dioxide automated angiography in type II endoleaks detection: comparison with Contrast-Enhanced ultrasound. Contrast Media Mol Imaging. 2018;2018:p7647165.","journal-title":"Contrast Media Mol Imaging"},{"issue":"2","key":"3329_CR43","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1016\/j.jvs.2014.07.088","volume":"61","author":"E Sueyoshi","year":"2015","unstructured":"Sueyoshi E, et al. Carbon dioxide digital Subtraction angiography as an option for detection of endoleaks in endovascular abdominal aortic aneurysm repair procedure. J Vasc Surg. 2015;61(2):298\u2013303.","journal-title":"J Vasc Surg"},{"issue":"11","key":"3329_CR44","doi-asserted-by":"publisher","first-page":"1655","DOI":"10.1007\/s10554-017-1175-2","volume":"33","author":"C De Angelis","year":"2017","unstructured":"De Angelis C, et al. Carbon dioxide (CO(2)) angiography as an option for endovascular abdominal aortic aneurysm repair (EVAR) in patients with chronic kidney disease (CKD). Int J Cardiovasc Imaging. 2017;33(11):1655\u201362.","journal-title":"Int J Cardiovasc Imaging"},{"issue":"5","key":"3329_CR45","doi-asserted-by":"publisher","first-page":"1405","DOI":"10.1016\/j.jvs.2023.01.013","volume":"77","author":"A Vacirca","year":"2023","unstructured":"Vacirca A, et al. The optimal operative protocol to accomplish CO(2)-EVAR resulting from a prospective interventional multicenter study. J Vasc Surg. 2023;77(5):1405\u2013e14121.","journal-title":"J Vasc Surg"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-025-03329-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-025-03329-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-025-03329-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T11:49:17Z","timestamp":1764330557000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-025-03329-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,28]]},"references-count":45,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3329"],"URL":"https:\/\/doi.org\/10.1186\/s12893-025-03329-2","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,28]]},"assertion":[{"value":"16 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This article does not contain any studies with human participants or animals performed by any of the authors.For this type of study informed consent is not required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"For this type of study consent for publication is not required.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"578"}}